Dr. Cam Simmons - 3056 grafts in front and a trichophytic closure for a Norwood 3V to 6 thinning man in his mid 50s.

[Cam Simmons MD ABHRS]

This man in his mid 50s was most concerned about his hair loss in front and was not troubled about having a bald spot in his crown. He preferred to wear a left part but brushed his hair forward to hide the recession. He had mostly straight, average-to-fine, brown/salt-and-pepper hair with average donor density and scalp flexibility.

 

We transplanted 3056 grafts in his frontal third at 56 grafts per square cm in his midfrontal forelock and behind his hairline and at 49 behind that then fading and blending in with his hair in the midscalp. His 29.6 cm long donor strip was mostly 10 mm wide on the sides and 14 mm wide in back. He had a single-layer, lower edge trichophytic closure with conservative undermining of both edges. (These days I more often do 2-layer closures without undermining but either method works.)

 

He has lots of donor hair left but he is content as he is for now. He is not keen on using long-term medical stabilization but will likely return to transplant his midscalp, if and when he loses more hair there.